Specialist ENT nose

COMPLICATIONS OF TONSILLECTOMY AND MANAGEMENT

SMR SurgerySeptoplasty
Radical SurgeryConservative Surgery
Killions incision taken 5 mm from caudal border of septal catilageFreer’s hemitransfixation incision taken at caudal border of septum
Not done below 17 years of ageCan be done at any age
Mucosal flaps elevated on both sidesMucosal flaps elevated only on concave side of cartilage
Entire cartilage except 2-3 mm strip at caudal end may removedOnly deviated part of cartilage removed
Caudal dislocation cannot be correctedCaudal dislocation can be corrected
Complications:
– Septal perforation
– Septal haematoma
– Supratip deformity
– Saddle nose deformity
– CSF rhinorrhoea

7) All complications are rare

Revision surgery very difficultRevision surgery can be done
Cannot be combined with rhinoplastyCan be combined with rhinoplasty